Unit 1 Flashcards Preview

nursg 2100 > Unit 1 > Flashcards

Flashcards in Unit 1 Deck (45):
1

Pharmacology

The study of medicines, including their administration, their sites of action and their effects

2

Pharmacotherapy

The use of drugs for the prevention and treatment

3

Drug

Anything that helps prevent cure, or reduce symptoms of a medical condition.

4

Classification of Drugs- Therapeutic

What the drug is treating

5

Classification of Drugs- Pharmacologic

How the drug acts in the body

6

Classification of drugs- Prototype Drug

well understood model drug to which other drugs in a class are compared.

7

What are the three types of drug names?

Chemical, Generic, and trade, brand, propriety

8

Chemical Drug Name

Standardized by the international union of pure and applied chemistry.

9

Generic Drug name

Assigned by the U.S. adopted name council, only one generic name per drug.

10

Trade, brand, propriety drug name

Drug name assigned by the pharmaceutical company

11

What is involved in the U.S. pharmacopeia- national formulary drug standards?

quality/purity, strength, therapeutic use, patient saftey, standardized dosage form, safe packaging.

12

What is the purpose of the FDA?

-Assure safety and efficiency of drugs and medical devices.
- encourages innovation in making drugs more effective, safer, and more affordable.
- Disseminating information about drugs, assures effective drugs are available.

13

What is the process for drug development?

-Testing animal studies (FDA review)
-Clinical trials- 3 phases
-New drug application
-post marketing surveillance

14

What is the controlled substances act?

It recognized the abuse and dependency potential of specific drugs and categorized these drugs. Schedule 1 is the highest schedule 5 is the lowest.

15

Schedule 1 drugs

-Highest potential of abuse, physical dependence, and psychological dependence
-not currently accepted in medical use in the U.S.
Lack of accepted safety for use of the drug under medical supervision.
-EX: heroin, marijuana, peyote, LSD

16

Schedule 2 Drugs

-High potential for abuse physical dependence and psychological dependence
-currently accepted medical use in U.S., No refills
-EX: Morphine, cocaine, methadone, methamphetamines, hydrocodone, codeine

17

Schedule 3 Drugs

- Moderate potential for abuse, moderate to low physical and high psychological dependence.
-currently acceptable in the U.S., five refills allowed in 6 months
-EX: Anabolic steroids and Icetamine

18

Schedule 4 Drugs

-Lower potential for abuse, lower physical and psychological dependence.
-currently accepted medical use in the U.S., 5 refills in 6 months.
-EX: Benzodiapines, Zolpidem, and Tramadol

19

Schedule 5 Drugs

-Lowest potential for abuse, lowest physical and psychological dependence
-currently accepted medical use in U.S., can be over the counter, refills as authorized by the company.
-EX: Cough syrups with codeine and anti-diarrheal medicine.

20

What are the nurses responsibility for controlled substances?

-Keep drugs in secure "Lock box" a double lock is required for narcotics.
-count controlled medications per facilities policy at end and beginning of shift
-2 Nurses always count medicine
-a nurse always witness and signs when a medicine is discarded or wasted.

21

What are some common concerns for nurses?

Medication errors, assistive personal administering drugs, administering a drug without an order, transporting, delivering, and dispensing drugs, drug dependency.

22

What are the 10 rights?

-Right patients
-Right drug
-Right dose
-Right route
-Right time
-Right documentation
-Right client education
-Right to refuse
-Right assessment
-Right evaluation

23

Why do medication errors happen?

-Lack of knowledge
-Dosage miss-communication
-Poor communication (EX: bad handwriting)
-Similar drug names
-Drug packages/labels
-Stressful work situations
-Distractions

24

What is considered a drug?

A drug is a anything that is used to prevent, cure, or reduce a symptom of a medical condition.

25

Indications

the medical conditions for which a drug is approved

26

Pharmacopeia

a medical reference summarizing standards of drug purity, strength, and directions of synthesis.

27

Adherence

taking medicine in the manner perscribed by the health care provider

28

What are the 3 parts of a prescription?

-Heading
-Body
-Closing

29

What is in a heading of a prescription?

includes prescribers name, address, number, date

30

What is included a body of a prescription?

Drug name, dosage, and amount dispensed, patient instructions.

31

What is included in the closing of a prescriptions?

prescribers signature, refill number, and DEA number of prescriber.

32

Enteral route

includes drugs deliered to the gastrointestinal tract, either orally, or through nasogastric, or gastrostomy tubes.

33

Enteric-coated route

Designed to dissolve in the small intestine

34

Buccal route

administer on the side of mouth with dissolving tablet

35

Sublingual route

Mediation placed under tongue and allowed to slowly dissolve.

36

When should Sublingual be administered?

after oral medications have been swallowed.

37

What do you do when a med error has occurred?

-Follow facilities policy and procedures
-Document on patient chart the error, what nursing actions were followed, who was notified about the error
-Complete an incident report

38

Topical route

includes medicine applied to the skin or the membranous linings of the eye, ear, nose, respiratory tract, urinary tract, vagina, and rectum.

39

Transdermal Patches

topical delivery method that uses patches that contain a specified amount of medication that is released over a specified time period.

40

opthalmic administration

is used to treat local conditions of the eye and surrounding structures.

41

Otic Administration

used to treat local conditions of the ear, including infections, and accumulation of earwax in auditory canal

42

Vaginal Route

is used to treat local conditions such as vaginal infections, pain, and itching

43

Rectal Route

used for either local or systemic drug delivery.

44

What happens if a therapeutic effect goes extreme?

Then there will BE a adverse effect

45

When should you always document?

After the medication is given.